# of studies reporting psychometric properties: 2
Interpretability
- Higher scores indicate a higher level of independence
- Scores reflect the nursing burden and social acceptability of the activity.
- Cut scores have been established for the stroke population and are not necessarily representative for the SCI population. Scores of 0-20 indicate total dependence; 21-60: severe dependence; 61-90: moderate dependence and 91-99: slight dependence.
- Published data for the SCI population is available for comparison (see the Interpretability section of the Research Summary sheet).
MCID: not established for the SCI population, but for a stroke sample (n = 43; mean (SD) age = 55.4 (14.6) yrs; Taiwanese adults post-stroke mean (SD) of 7.04 (64.1) days):
BI MCID = 1.85 points
(Hsieh et al. 2007: “Establishing the minimal clinically important difference of the Barthel Index in stroke patients” Neurorehabil Neural Repair 21(3): 233-238)
SEM: not established for the SCI population, but for a stroke sample (n = 56, Taiwanese adults post-stroke mean of 1197.1 days):
BI SEM=1.45 points
(Hsieh et al. 2007. “Establishing the minimal clinically important difference of the Barthel Index in stroke patients” Neurorehabil Neural Repair 21(3): 233-238)
MDC: not established for the SCI population, but for a stroke sample (n=56, Taiwanese adults post-stroke mean of 1197.1 days):
BI MDC = 4.02 points
(Hsieh et al. 2007. “Establishing the minimal clinically important difference of the Barthel Index in stroke patients” Neurorehabil Neural Repair 21(3): 233-238)
Reliability
No values were reported for the reliability of the Barthel Index for the SCI population.
Validity
Correlation of the Barthel Index is Moderate with:
- the Walking Index for Spinal Cord Injury (Spearman’s ρ = 0.67)
- the Rivermead Mobility Index (Spearman’s ρ = 0.6)
- the Spinal Cord Independence Measure (Spearman’s ρ = 0.7)
- the Functional Independence Measure (Spearman’s ρ = 0.7).
(Morganti et al. 2005, Plantinga et al. 2006)
Responsiveness
Total score effect size (ES) for all participants = 0.98 (items: 0.38 to 1.16)
(O’Connor et al. 2004)
Floor/Ceiling Effect
Ceiling effects were detected at discharge for the Barthel Index score (24.1% of subjects had the highest score).
(O’Connor et al. 2004)
Modified Barthel Index
# of studies reporting psychometric properties: 1
Reliability
- Internal consistency of the Modified BI is High at admission (Cronbach’s α = 0.88) and discharge (Cronbach’s α = 0.90).
- Inter-rater reliability for MBI items range from Moderate to High (ICC= 0.50-0.78).
- Inter-rater reliability for the total MBI scale is Moderate (ICC = 0.77)
(Kucukdeveci et al. 2000)
Validity
- Correlations between the MBI and ASIA (American Spinal Injury Association) motor scores were Moderate at admission (r = 0.55) and High at discharge (r = 0.76).
- Correlations were weaker between the MBI and ASIA sensory scores; Moderate at both admission (r = 0.43) and discharge (r = 0.51).
(Kucukdeveci et al. 2000)
Responsiveness
No values were reported for the responsiveness of the Modified Barthel Index for the SCI population.
Floor/Ceiling Effect
No values were reported for the presence of floor/ceiling effects for the Modified Barthel Index for the SCI population.
Reviewers
Dr. William Miller, Christie Chan, Gita Manhas
Date Last Updated
20 July 2020
